Individual
JACKILYN MARIE KLECKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
301 JEFFERSON ST, BENNETTSVILLE, SC 29512-2633
(843) 479-5936
Mailing address
301 JEFFERSON ST, BENNETTSVILLE, SC 29512-2633
(843) 479-5936
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7825
SC
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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